| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0601 |
Continuous positive airway pressure (cpap) device |
1,824 |
1,443 |
$65K |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
286 |
184 |
$15K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
928 |
717 |
$15K |
| A7030 |
Full face mask used with positive airway pressure device, each |
253 |
178 |
$11K |
| A7031 |
Face mask interface, replacement for full face mask, each |
366 |
302 |
$9K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
317 |
219 |
$5K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
78 |
72 |
$5K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
127 |
114 |
$4K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
137 |
101 |
$4K |
| A7035 |
Headgear used with positive airway pressure device |
300 |
215 |
$3K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
739 |
574 |
$2K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
55 |
37 |
$770.06 |
| A7037 |
Tubing used with positive airway pressure device |
36 |
30 |
$484.15 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
21 |
15 |
$184.15 |